Intercourse pain, or dyspareunia, can cause problems in a couple’s sexual relationship. In addition to the physically painful sex, there is also the possibility of negative emotional effects, so the problem should be addressed as soon as it becomes evident.
Painful Sex in Women - Causes
Vaginismus. This is a common condition in which there is a spasm in the vaginal muscles, mainly caused by the fear of being hurt.
Vaginal infections. These conditions are common and include yeast infections.
Problems with the cervix (opening to the uterus). In this case, the penis can reach the cervix at maximum penetration, so problems with the cervix (such as infections) can cause pain during deep penetration.
Problems with the uterus. These problems may include fibroids that can cause deep intercourse pain.
Sex is supposed to be enjoyable, but for countless women suffering from vulvodynia, that’s not the case. Characterized by pain or discomfort with sexual intercourse, rawness, stinging, itching and burning in the vagina or vulva, vulvodynia is a common condition, but it is often undiagnosed or misdiagnosed.
Lack of full arousal causing discomfort on attempted penetration because of lack of lubrication and lack of muscle relaxation.
Sexually transmitted infections e.g. herpes infections (herpes blisters can be very tender).
The symptoms of vulvodynia mimic those of other, common vulvovaginal infections,” explains Christin Veasley, associate executive director of the National Vulvodynia Association in Silver Spring, Md. “Women are routinely and incorrectly told that they have a yeast or bacterial infection over and over again.
A medical investigation is an important step in the treatment process. The pain may be due to social causes like relational problems. Communication problems between the partners may play a role. Many people are afraid to indicate what they like in the sexual field. Psychological causes may also play a role. Since many women can’t relax sufficiently, the vagina doesn’t get wet enough the penis rubs against the side of the vagina, which leads to irritation. Due to the fear of pain the pelvic floor muscles are tensed too much, which causes the love play to hurt. The woman gets into a vicious circle of fear of pain, which leads to tension, the tension to extra pain and no more arousal, which leads to a dry vagina, which leads to more irritation, etc. There may also be negative thoughts and feelings about sexuality and certain harmful events may play a role.
Infections/Scarring/Irritants
Feeling pain at or near the entrance to the vagina may be the result of a vaginal or urinary tract infection, or related to scarring from an episiotomy. Spermicides, feminine hygiene sprays, douches, or tight clothing can also create soreness. Simply treating the infection or removing the irritant may solve the problem. Pain caused by an episiotomy scar may clear up on its own as time passes and the area becomes less tender. If not, surgical treatment may be a consideration.